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DR. NICHOLAS A PETRULIS DC
NPI 1215405899
Chiropractor in Waunakee, WI

Active since November 13, 2018Accepts Medicare Assignment
249 S CENTURY AVE, WAUNAKEE, WI 53597(608) 850-7243(608) 850-7245 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Jun 27, 2024, Nov 26, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Nicholas A Petrulis Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NICHOLAS A PETRULIS DC (NPI 1215405899) is an individual chiropractor in Waunakee, Wisconsin, licensed in Wisconsin (5403) and active in the NPI registry since November 2018. He is a graduate of Northwestern College Of Chiropractic (2018).

NPPES Registry Identity

NPI1215405899
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. NICHOLAS A PETRULISCredential: DC
Location Address249 S CENTURY AVEWaunakee, WI 53597-1249
Mailing Address105 Clarmar DrSun Prairie, WI 53590-2675 · (608) 318-5929 · Fax (608) 318-5922
Phone(608) 850-7243
Fax(608) 850-7245
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2018
Enumeration DateNovember 13, 2018
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1215405899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5403
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
249 S CENTURY AVE, Waunakee, WI 53597
Open in Google Maps ↗

Other Identifiers 1

Medicaid100083515WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nicholas A Petrulis Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739423237
PECOS Enrollment IDI20181211001880

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Petrulis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luedtke-Storm-Mackey Chiropractic Clinic Sc
11 mi
Chiropractor
105 CLARMAR DRIVE
Sun Prairie, WI 53590
  • Reassigned Medicare billing, Wisconsin enrollment
  • 32 clinicians in this Medicare group
NPI 1457343246 (608) 316-6972

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
332 services44 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
139 services23 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Petrulis's NPI number?

The NPI number for Nicholas Petrulis is 1215405899. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Nicholas Petrulis located?

Nicholas Petrulis practices at 249 S Century Ave, Waunakee, WI 53597. The listed phone number is (608) 850-7243.

What is Nicholas Petrulis's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Nicholas Petrulis enrolled in Medicare?

Yes. Nicholas Petrulis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Petrulis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Petrulis reassigns Medicare benefits to Luedtke-Storm-Mackey Chiropractic Clinic Sc (Sun Prairie, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Petrulis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Petrulis accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, MercyCare Health Plans and Quartz list Nicholas Petrulis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Petrulis was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.